可能与陈旧性头部外伤相关的迟发性中脑周围蛛网膜下腔出血：一例报告

Roçi Ermir, Mara Emili, Vyshka Gentian

Division of Neurosciences University Hospital Center 'Mother Teresa' Tirana Albania.

Biomedical and Experimental Department, Faculty of Medicine University of Medicine in Tirana Tirana Albania.

Clin Case Rep. 2025 Jul 21;13(7):e70658. doi: 10.1002/ccr3.70658. eCollection 2025 Jul.

The diagnosis of a subarachnoid hemorrhage is challenging, and has important clinical, therapeutic and prognostic implications. Delayed NPMSAH (non-aneurysmal perimesencephalic SAH) may involve subtle venous injury, aberrant venous anatomy or increased intracranial venous pressure. In all "idiopathic" cases, a remote traumatic event should be considered, and approached accordingly.

蛛网膜下腔出血的诊断具有挑战性，且具有重要的临床、治疗和预后意义。延迟性非动脉瘤性中脑周围蛛网膜下腔出血（NPMSAH）可能涉及细微的静脉损伤、异常的静脉解剖结构或颅内静脉压升高。在所有“特发性”病例中，都应考虑既往的创伤事件，并据此进行处理。